The ACA Integrity

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I love the AMA Morning Rounds e-newsletter.  It gives me so much fodder for this blog.  Take this one, for example:

The New York Times reports investigators from the Government Accountability Office “said Thursday that they had discovered many errors in eligibility decisions under the Affordable Care Act that had led the government to pay for duplicate coverage for some people and an excessive share of costs for others.” Some people were receiving subsidies for private coverage while they were already enrolled in Medicaid. In other cases, “the investigators said, the government is probably overpaying because it cannot always distinguish between newly eligible beneficiaries under the Affordable Care Act and those eligible under the old rules.” In testimony prepared for a House hearing today, the GAO “said the Obama administration needed to adopt much stronger safeguards to ensure the integrity of programs providing coverage to millions of Americans.”

Thank you, AMA, not only for sharing this piece but for giving the approval for the ACA.  Let’s see, duplicate coverage, excess share of costs for others, overpaying, can’t distinguish eligibility, and need for more safeguards.  Sounds about right for the government. I know how they can fix it.  All they need to do is tax me more and let the insurance companies raise my rates by 30%.  Oh wait, they are doing that already.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  2 comments for “The ACA Integrity

  1. Rsw
    October 27, 2015 at 10:20 am

    “no interoperability for EMR (as if that would really help at this point anyway)”

    This “interoperability” trope really is a red herring, isn’t it, intended to distract docs from the reality that EHRs totally suck, and for the foreseeable future will continue to totally suck, in every possible way.

    What kind of moron thinks that having immediate access (and the liability that goes with it) to thousands and thousands of pages of worthless cut and pasted notes is going to make your day go better? (Answer: starts with A and ends with P)

  2. Perry
    October 27, 2015 at 9:59 am

    ” Let’s see, duplicate coverage, excess share of costs for others, overpaying, can’t distinguish eligibility, and need for more safeguards. ”

    And—
    Still millions without insurance, those that have it can’t afford it, doctors are over-worked and underpaid, doctors spending more time on charting, coding and documentation than patient care,
    still not enough access for patients, ERs still overloaded, no interoperability for EMR (as if that would really help at this point anyway), plenty of med school applicants but not enough residencies, costs for medical care still alarmingly high and do not appear to be decreasing anytime soon. I could go on…
    Wow, what a great law!

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